BENJAMIN TY KOEHN NPI 1417704461

NPI Information

  • NPI: 1417704461
  • Provider Name: BENJAMIN TY KOEHN
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 1414 ARDEN PL
    ARDEN HILLS, MN
    ZIP 55112
  • Phone: (651) 219-0788

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NPI Details

Benjamin Ty Koehn is a physician assistant in Arden Hills, MN. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Benjamin Ty Koehn NPI is 1417704461. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1414 ARDEN PL
ARDEN HILLS, MN
ZIP 55112-664
Phone: (651) 219-0788

The enumeration date for this NPI number is 5/6/2024 and was last updated on 5/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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